1518028927 NPI number — MAUREEN CASSIDY PALUMBO LPC, LMFT

Table of content: DEANNA QUINONES (NPI 1336917855)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518028927 NPI number — MAUREEN CASSIDY PALUMBO LPC, LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PALUMBO
Provider First Name:
MAUREEN
Provider Middle Name:
CASSIDY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC, LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CASSIDY
Provider Other First Name:
MAUREEN
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC, LMFT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1518028927
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15350 MUTINY CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORPUS CHRISTI
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78418-6342
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
361-779-3246
Provider Business Mailing Address Fax Number:
361-949-1938

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5926 S STAPLES ST
Provider Second Line Business Practice Location Address:
D-9
Provider Business Practice Location Address City Name:
CORPUS CHRISTI
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78413-3843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-779-3246
Provider Business Practice Location Address Fax Number:
361-949-1938
Provider Enumeration Date:
12/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  9542 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: 3095 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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